Individual
ELIZABETH CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2790 N ACADEMY BLVD, SUITE 227, COLORADO SPRINGS, CO 80917-5337
(719) 425-7771
(719) 208-7730
Mailing address
15110 COPPERFIELD DR, COLORADO SPRINGS, CO 80921-3522
(917) 817-3496
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001816
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP.0001816
LICENSE NUMBER
CO
Enumeration date
07/07/2015
Last updated
04/27/2018
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